scholarly journals Incidentally diagnosed post-cesarean vesicouterine fistula (Youssef’s syndrome)

2015 ◽  
Vol 9 (11-12) ◽  
pp. 913 ◽  
Author(s):  
Mehmet Zeynel Keskin ◽  
Salih Budak ◽  
Ertan Can ◽  
Yusuf Ozlem Ilbey

Vesicouterine fistula (VUF) is a very rare occurrence and is estimated to occur in only 1–4% of all genitourinary fistulas; 90% of cases are Youssef syndrome, which is accompanied by amenorrhea and cyclic hematuria (menouria). In this article, a renal transplant donor who was incidentally diagnosed with Youssef syndrome 20 years after a second cesarean delivery.

Author(s):  
Reynaldo Machado Junior ◽  
Luís Machado Junior ◽  
Lúcio Lourenço

Objective To describe a case of vesicouterine fistula and to review the literature related to this condition. Methods For the review, we accessed the MEDLINE, BIREME and LILACS databases; the references of the searched articles were also reviewed. Results A 38-year-old woman, in the 1st day after her 3rd cesarean, presented heavy hematuria, which was considered secondary to a difficult dissection of the bladder. A total of 6 months after delivery, she failed to resume her regular menstrual cycles and presented cyclic menouria and amenorrhea. At this time, she had two episodes of urethral obstruction by blood clots. She remained without a correct diagnosis until about two years postdelivery, when a vesicouterine fistula was confirmed through cystoscopy. A surgical correction through open abdominal route, coupled with hysterectomy, was performed. After the surgery, the symptoms disappeared. The review showed a tendency of change in the relative frequency of the different types of genitourinary fistulae. Vesicovaginal fistulae, usually caused by inadequate care during labor, are becoming less frequent than those secondary to medical procedures, such as vesicouterine fistulae. The most common cause of this latter kind of fistula is cesarean section, especially repeated cesarean sections. The diagnosis is confirmed through one or more imaging exams, or through cystoscopy. The most common treatment is surgical, and the routes are: open abdominal, laparoscopic, vaginal or robotic. There are some reports of success with the conservative treatment. Conclusion Vesicouterine fistulae are becoming more common because of the increase in the performance of cesarean sections, and the condition must be considered a possible complication thereof.


2018 ◽  
Vol 30 (1) ◽  
pp. 70-72
Author(s):  
Mosammat Nargis Shamima ◽  
Rubayet Zereen ◽  
Monwara Begum ◽  
Nurjahan Akter ◽  
Mst Rowshan Ara Khatun ◽  
...  

Vesicouterine fistula (VUF) is a very rare occurrence and is estimated to occur in only (1-4%) of all genitourinary fistulas. It is an abnormal pathway between the bladder and the uterus. The most common cause is lower segment caesarean section. Patients usually present in the early post operative period with the problem of continuous urinary incontinence. On the rare occasion, recurrent urinary tract infection, recurrent gross painless haematuria, or secondary infertility associated with secondary amenorrhoea would be the presenting complaint. Among all vesicouterine fistula 90% are Youseef’s Syndrome the least common of the urogynaecological fistulas. Youseef’s syndrome is characterized by cyclic haematuria (menouria), absence of vaginal bleeding (amenorrhea) and urinary incontinence due to vesicouterine fistula (VUF).TAJ 2017; 30(1): 70-72


2021 ◽  
Vol 10 (4) ◽  
pp. 1
Author(s):  
Resul Yilmaz ◽  
Feyza Erdem ◽  
Ahmet Arik ◽  
Sule Arican ◽  
Gulcin Hacibeyoglu ◽  
...  

2017 ◽  
Vol 30 (1) ◽  
Author(s):  
Julián Oñate Celdrán ◽  
Francisco M. Gonzalez Valverde

Vesicouterine fistula without vaginal leakage of urine, cyclic hematuria and amenorrhea is a rare condition, identified as Youssef’s syndrome. The most common cause of this syndrome is trauma during a cesarean section. Different therapeutical approaches that include conservative treatment, fulguration, hormonal therapy and open, laparoscopic or robotic surgeries have been mentioned in the literature. Herein a case in a 37-year-old patient is reported. Conservative treatment with urinary drainage was successful because the fistula was recognized in the immediate postoperative period.


2011 ◽  
Vol 37 (7) ◽  
pp. 912-915 ◽  
Author(s):  
Joseph I. Ikechebelu ◽  
Joseph O. Ugboaja ◽  
Chukwunwendu F. Okeke

2021 ◽  
Vol 12 (6) ◽  
pp. 107-109
Author(s):  
Muhammad Danish ◽  
Zain Majid ◽  
Ghazi Abrar ◽  
Farina Hanif ◽  
Nasir Hasan Luck

Rectal lymphomas are of a rare occurrence. We hereby report the case of a middle aged renal transplant patient, who presented 4 years post live related renal transplantation with per rectal bleeding and on workup was found to have rectal lymphoma. Later on he underwent a battery of investigations including Lower GI endoscopy, CT scan, PET scan which confirmed his findings. He was managed with 4 cycles of rituximab and repeat PET scan showed decrease in the size of the lesion.


2010 ◽  
Vol 34 (8) ◽  
pp. S70-S70
Author(s):  
Yan Wang ◽  
Chuan Tian ◽  
Chun Mei Wang ◽  
Chun Guang Fan ◽  
Gang Liu

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